A pediatric case of eosinophilic granulomatosis with polyangiitis accompanied by heart failure mimicking an asthma attack
Allergy, Asthma & Respiratory Disease
; : 212-217, 2019.
Article
em Ko
| WPRIM
| ID: wpr-762199
Biblioteca responsável:
WPRO
ABSTRACT
Eosinophilic granulomatosis with polyangiitis (EGPA, also known as the Churg-Strauss syndrome) is a disorder characterized by asthma, peripheral eosinophilia and systemic vasculitis. It rarely occurs in children, so that physicians may frequently mistake it for a simple uncontrolled asthma. Since a subsequent cardiac involvement is critical for the prognosis, it is important to suspect EGPA in children with severe, uncontrolled asthma. The cardiac manifestations in EGPA are variable from asymptomatic electrocardiogram abnormalities to pericarditis with pericardial effusion, myocarditis with cardiomyopathy, heart failure, and sudden cardiac death. Although delayed treatment may lead to fatal cardiac complications in EGPA, adequate immune suppression can reverse cardiac impairment. We report a 14-year-old girl with persistent asthma refractory to steroids who was eventually diagnosed with an anti-neutrophil cytoplasmic antibody-negative EGPA.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Derrame Pericárdico
/
Pericardite
/
Prognóstico
/
Asma
/
Esteroides
/
Síndrome de Churg-Strauss
/
Granulomatose com Poliangiite
/
Morte Súbita Cardíaca
/
Citoplasma
/
Eletrocardiografia
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
Idioma:
Ko
Revista:
Allergy, Asthma & Respiratory Disease
Ano de publicação:
2019
Tipo de documento:
Article